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Regional EMTCT Stock-taking Meeting

9 - 12, April 2013

Addis Ababa, ETHIOPIA

ETHIOPIA

BACKGROUND on countrys PMTCT PROGRAMME

Population 86 million (source: CSA projection) NO of persons LIVING with HIV (yearly estimate) 759, 268
(source: EHNRI, FMOH August 2012 HIV related estimates and projections)

HIV Prevalence (General population and pregnant women - including pregnant women aged 15 - 24) ADULT HIV prevalence 1.5% (source: EDHS 2011)

NO of PREGNANT WOMEN living with HIV: 34, 524


(source: EHNRI, FMOH August 2012 HIV related estimates and projections)

MALE (1%) FEMALE (1.9%) HIV prevalence among PREGNANT WOMEN (2.4%)
(source: ANC sentinel surveillance 2009)

Key PROGRAMMATIC ISSUEs


Option being implemented:

3 key CONSTRATINTs:

Currently Option A Preparatory works being finalized to start implementation of Option B+ (update trainings are being given for HCPs)

Missed opportunities and LTF Low uptake of EID services Low male partner testing and support

PMTCT coordination mechanism National


3 key OPPORTUNITIEs

Steering committee led by the ministry Safe motherhood/PMTCT TWG composed of experts from MOH and partner organizations is present with four major sub teams (M&E, demand creation, site expansion & QI )

Presence of Health Development Army Adaptation and roll out of Option B+ Government commitment towards elimination of MTCT of HIV Strong partner involvement and support in PMTCT program

Regional

Steering committee Safe motherhood/PMTCT TWG

Key PROGRAMME ACHIEVEMENTs


% of pregnant women TESTED for HIV: 33.4% Unmet NEED for Family Planning: 25.3% % of pregnant women whose PARTNERs were TESTED for HIV: NA % of males and females aged 15 - 49 yrs who had MORE THAN ONE sexual partner in the past 12 months reporting the USE of a CONDOM during last sexual intercourse (yearly estimate): 61% % INFANTs who receive EID by 8 weeks: NA

% of HIV-infected PREGNANT women who received efficacious ARV (prophylaxis or therapy) to reduce MTCT (disaggregated by regimen): 8.3% (2009), 9.3% (2011), 41% (2012) % ARV COVERAGE for pregnant womens own health: 45% MTCT rate (yearly estimate): 30% (2011), 20% (2012) New HIV INFECTIONs among children - including % decline by each year from 2009: NA

LESSONs learned or BEST practices


Key RECOMMENDATIONs

Health Development Army Health Extension Program Awareness creation activities among the community through influential community members like the football team

Enhance quality based service provision to reach the target Strengthen EID services Facilitate the roll out of Option B+ in all PMTCT service providing facilities

Pregnant Women TESTED for HIV


1,400,000 40

36.7
35

1,200,000

33.4

30 1,000,000

25

22.6
800,000

20

600,000

14.4

15

400,000 10

7.5
200,000

4.3

0
y1999(JUL 2006 - JUN 2007) y2000(JUL 2007 - JUN 2008) y2001(JUL 2008 - JUN 2009 y2002(JUL 2009 - JUN 2010) y2003 (JUL 2010 - JUN 2011) y2004 (JUL 2011 - JUN 2012)

Year
Number of PW tested for HIV Proportion of PW tested for HIV

Pregnant Women who RECEIVED ARV for PMTCT


12,000 30

25
10,000 25

8,000

20

6,000

15

4,000

9 7.6 5.6

9.3

10

5.2
2,000

0
y1999(JUL 2006 - JUN 2007) y2000(JUL 2007 - JUN 2008) y2001(JUL 2008 - JUN 2009 y2002(JUL 2009 - JUN 2010) y2003 (JUL 2010 - JUN 2011) y2004 (JUL 2011 - JUN 2012)

Year
Number of PW who received Prohylaxis Percentage of PW who received ARV for PMTCT

Percentage of PW who received ARV for PMTCT

Number of PW who received Prohylaxis

Proportion of PW tested for HIV

Number of PW tested for HIV

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